Jessica Wallace
Jessica Wallace is a Behavior Technician in Ontario, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1500 S Haven AveOntario, CA 91761-2969
Phone: (909) 749-5204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1548974934 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 10, 2023 |
| Last updated in NPPES | January 10, 2023 |
| Certification date | January 10, 2023 |
| Mailing address | 1500 S Haven Ave, Ontario, CA 91761-2969 |
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